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Permit 1739 Beach Ave Temp Pole 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000194 Date 2/16/12 Property Address . . . . . . 1739 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc temp pole ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLEMENTS UNITED ELECTRIC COMPANY OF 1739 BEACH AVENUE JACKSONVILLE ATLANTIC BEACH FL 32233 5716 ST. AUGUSTINE ROAD JACKSONVILLE FL 32207 (904) 731-4210 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . TEMP POLE Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/14/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach' FL 32233 Ph(904) 247-5826 Fax (904)247-5845 JOB ADDRESS: 9 —6 t a C/� /q V.4— . - PERMIT it JEA INFORMATION REQUIRED ON ALL PERMITS _&0 AMPS �2'/0 VOLTS PHASE ,VAL UE OF WORK$ TCSER F� Underground Underground up Pole e v k� ORVesiti4�e)Service 00-100 amps 0101-150amps 0 151-200amps 0—amps of Meters 0 Commercial(Main)Service 00-100 amps 0101-150amps 0 151-200amps 0______amps OCT Service amps Conductor Type Size OMulti-Family(Main)Service 00-100 amps 0101-150amps 0 151-200amps 0—amps 4 of Unit Meters Vemporary Pole 0 /0 0 amps SERVICE UPGRADE 0 CT Service amps Tl � NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) amps 0100amps 0150amps 0200amps 0 amps OCT Service ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 10 1-200amps y Appliances: —0-30amps 3 1-1 00amps 10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: 4 circuits Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS hp E]SwimmingPool OSign 0 Smoke Detectors_Qty OTransformers KVA 0 Motors FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty_volts/amps VALUE OF WORK$ REPAIRSMSCELLANEOUS OReplace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change 0014 to UG 44 �0 a JA"X 00ther: Permit bec s void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Inol-C.1'e-1 J---� Property Owners Name ?0 P.0 q 01M/11 Phone Number q 9 3- 99 q7 C'4-`�4 . ) I / -73) Electrical Company U-f%I Elfc�fr__'L 00 6 4'k, —Office Phone V21,�P Fax-73) --7�r,3 /L Co.Address: 5-7/(P Iq vo) City 3 e-CAfol?,,I)k State rL Zipjp_;� a -? : Gr� e Cgrtification/Registration 1—�C00'00'3 YI/ License Holder(Print) Stat r Notarized Signature of License Holder 20 A b fore me thii �el MARILYM E.TARPLEY Sworn and'subscribed day of FeArLtor WCOWSSIONM875577 zl EXPIRES:March 30,2013 Bonded Thru Notary PoWc Undwwriters Signature of Notary Publicw'-�'�� _T" A saw"